Organization Active NPI

Clear Skies Ahead, LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Niles, OH
National Provider Identifier
1881217537
Registry record updated May 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
CLEAR SKIES AHEAD, LLC
Practice address
337 Vienna Ave Ste 4
Niles, OH 44446-2664
Phone
(440) 632-3157
Fax
(440) 497-0035
NPI assigned
May 28, 2020
Last updated
May 28, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Catherine M Brooks
Title
Ceo
Phone
(330) 349-2690

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X NU Primary

Addresses

Primary practice location

337 Vienna Ave Ste 4
Niles, OH 44446-2664

Mailing address

337 Vienna Ave Ste 4
Niles, OH 44446-2664
Phone (440) 632-3157

Other identifiers 1

IdentifierTypeStateIssuer
0099906MedicaidOH

National Provider Directory

National Provider Directory

Locations

337 Vienna Ave
Ste 4
Niles, OH 44446
Phone (216) 652-5151

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1590624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590624000000",
    "number": "1881217537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "337 VIENNA AVE STE 4",
            "city": "NILES",
            "state": "OH",
            "postal_code": "444462664",
            "telephone_number": "440-632-3157",
            "fax_number": "440-497-0035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "337 VIENNA AVE STE 4",
            "city": "NILES",
            "state": "OH",
            "postal_code": "444462664",
            "telephone_number": "440-632-3157",
            "fax_number": "440-497-0035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR SKIES AHEAD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-28",
        "last_updated": "2020-05-28",
        "certification_date": "2020-05-28",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "330-349-2690"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0099906",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Niles, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.